Perceptions, Attitudes and Needs of Periodontitis Patients: A Qualitative Systematic Review

ABSTRACT Aim Patient‐reported outcomes (PROs) hold significant potential in guiding clinical decision making, yet their utilization in periodontal trials has been limited. This systematic review aimed to critically synthesize and analyse qualitative studies that evaluated the knowledge and impact of...

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Published in:Journal of clinical periodontology 2025-01, Vol.52 (1), p.80-91
Main Authors: Furquim, Camila Pinheiro, Suárez, Lina J., Tavares, Renata, Retamal‐Valdes, Belén, Feres, Murilo Fernando Neuppmann, Feres, Magda
Format: Article
Language:English
Subjects:
Clinical trials
Decision making
Gum disease
Health Knowledge, Attitudes, Practice
Humans
Motivation
Patient Reported Outcome Measures
Patients
patient‐reported outcomes
Periodontitis
Periodontitis - psychology
Periodontitis - therapy
PROM
qualitative
Qualitative Research
Systematic review
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Summary:ABSTRACT Aim Patient‐reported outcomes (PROs) hold significant potential in guiding clinical decision making, yet their utilization in periodontal trials has been limited. This systematic review aimed to critically synthesize and analyse qualitative studies that evaluated the knowledge and impact of periodontitis and its treatment on patients' lives, as well as their motivations, expectations and experiences in seeking treatment. Materials and Methods Six databases were searched up to March 2024 for qualitative studies on periodontitis patients. Studies were quality‐assessed using the JBI Critical Appraisal and ConQual tools. Two authors independently extracted the findings, with discrepancies resolved by a third reviewer. Results Thirteen studies from 2006 to 2023 across four continents, involving 215 participants, identified five themes related to periodontitis: (i) knowledge about periodontitis and its treatment; (ii) impact of periodontitis on patients' lives; (iii) motivation and treatment expectations; (iv) obstacles to treatment; and (v) treatment impact on patients' lives. Conclusion Significant physical and psychosocial impacts of periodontitis on patients' lives were identified, along with critical gaps in knowledge and awareness, emphasizing the important role of dentists in patient education. Specific PROs for use in validated instruments tailored to periodontitis were identified. These results can enhance patient‐centred care by guiding future studies in accurately assessing patient perspectives on their condition and treatment.
ISSN:0303-6979
1600-051X
1600-051X
DOI:10.1111/jcpe.14058